Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Modern Dental Profesionals Co PC

Modern Dental Profesionals Co PC was paid $197K by Medicaid between Jan 2018 and Aug 2023, across 15 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 30% of everything it billed.

33Billing provider infoMODERN DENTAL PROFESIONALS CO PC
CASTLE ROCK, CO 80104
33aNPI1124409552assigned 06/11/2015
28Total paid$197K
24GClaims3,893
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#175 of 521
Median peer was paid$53K
This provider vs. median3.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official MELLOR, CRAIG controls 12+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018877$28K
2019581$16K
2020880$55K
20211,032$79K
2022206$9K
2023317$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 30% 355 204 $58K
D0150 Comprehensive oral evaluation - new or established patient 15% 798 796 $30K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 12% 170 111 $23K
D1110 Prophylaxis - adult 10.0% 482 480 $20K
D0330 Panoramic radiographic image 8.8% 342 342 $17K
D0274 Bitewings - four radiographic images 5.0% 337 337 $10K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.7% 412 410 $9K
D0140 Limited oral evaluation - problem focused 2.9% 170 166 $6K
D0220 Intraoral - periapical first radiographic image 2.8% 455 451 $6K
D2740 Crown - porcelain/ceramic 2.7% 12 12 $5K
D2394 1.9% 19 13 $4K
D2950 1.7% 26 24 $3K
3 more codes
D0210 Intraoral - complete series of radiographic images 1.3% 141 $3K
D1206 Topical application of fluoride varnish <1% 112 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 62 $771.38

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialMELLOR, CRAIG (PC OWNER)
Parent organizationMODERN DENTAL PROFESIONALS CO PC
Same official

Other billing entities under MELLOR, CRAIG

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.